2yr old child having Corneal Ulcer, extreme photophobi and redness in eyes

[guneet_rs]

The brief of My sons history is- His eyes used to frequently develop stye on one eye or the other since he turned one.
In the month of Feb'18 he had conjectivitous. He was 22 months old at that time.
We started him on oflux. After 2-3 days the crusting of the eyes went away but the redness remained due to which the doctors gave him moxifloxin. Left eye was always more affected.
Since the redness didn't go away and the child was eversive to glare he was given tobramycin after which there was still no improvement.
The doctors looked at the eye through their machine and said that impression on the eye didn't resemble bacteria or virus and not even typical allergy. There were small formations on the Cornia lower periphery, forming a line around the cornia on only lower half.
Since it was already more than a month the doctors started saying that it might be allergic for which he was put on lowdex.
The course of which went on for almost a month. During the course of medicine he seemed better.
But as soon as the medicine was stopped he regressed back and it became worst than before.
By now an ulcer had developed in his left eye. We gave another course of lowdex
Also FML-T and FML was also tried
Finally doctors started assuming that it is a prolonged immune reaction of the body to the conjectivitous and all started specifying cyclomine.
We have not gone through the suggestion of general anaesthesia and testing of ulcer as yet
There is no improvement and now the right eye also seems to have developed an ulcer recently.
In the whole process he is very uncomfortable in sunlight, even the sunlight glare coming in through windows and says that light hurts his eyes.
His eyelids are swollen and he has difficulty in opening his eyes in the morning. Some days are better and some are worse.
There is no concrete diagnosis as of now.
Please help... anyone else experienced this...

[John C Hagan III, MD, FACS, FAAO]

Probably the most common cause of this would be staphylococcus blepharatis and peripheral cornea hypersensitivity keratitis.  Given the extended nature of this probably a general anesthesia exam and possible cornea culture is indicated. You might ask your ophthalmologists about using Avenova    eyelid cleaner. It is a prescription medicine. You just spray it on and let it dry. It suppresses the grown of Staph and helps clear the blepharitis.  I have used it with great success in my practice.  See link   https://avenova.com/  

[guneet_rs]

Thank you so much doctor! Will get this checked also. Another doctor has suggested testing tear drop microbiologically... what is your opinion on that? Highly grateful for your help

[John C Hagan III, MD, FACS, FAAO]

I'm not sure what tear drop testing the doctor is referring to.

[guneet_rs]

They took a swab from his inner eyelid and there report says: we did tear drop cytology and found 3+ eosionophilia, activated lymphocytes, apoptosis. found Type IV hypersensitivity reaction.
What is your understanding from this...
And do think I should still go for the cornea culture?

[John C Hagan III, MD, FACS, FAAO]

That is not a test I have done, nor do I have expertise in interpretation so I can't add any useful information to it.  Nor can I determine if a cornea culture is indicated. I'm sorry I can't be more helpful but I don't want to overstate what can be done without  actually examining the person.